Stacy, Anita

Stacy, Anita is an individual health care provider with primary practice located at 235 E. Graham , Pryor OK 74361-2436. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Stacy, Anita can be contacted via phone (918) 825-1405.

Contact Information

Primary practice address
235 E. Graham Pryor OK 74361-2436
Phone: (918) 825-1405
Fax: (918) 825-1406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1720490923
LBN Legal business name Stacy, Anita
Credentials B.S
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2014
Last updated Nov 2nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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